NPI 1255666137

Grant a Basko

Practitioner Occupational Therapist Riverton, WY

Practice location

Address: 820 W Main St, Riverton, WY 82501-3342
Phone: (307) 857-7074
Fax: (307) 856-6459
Mailing address: PO Box 2400, Rock Springs, WY 82902-2400

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OTR-763 (WY)

Other Occupational Therapist providers in Wyoming →

Registry record

NPI: 1255666137
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Oct 2009
Record last updated: 9 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.